Jessica Annelaine Vandyke, DPT

NPI #1104394659 in Blackfoot, Idaho

Provider Information

NPI Number
1104394659
Entity Type
Individual
Name
Jessica Annelaine Vandyke, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Nov 2, 2018
Last Updated
Sep 16, 2022

Practice Location

Address
282 W BRIDGE ST
State
Idaho
ZIP Code
83221
Phone
(208) 684-0021

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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